The nursing home failed to protect residents from abuse and neglect by others. Cited October 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Focused Care of Waxahachie
Waxahachie, TX · Medicare-certified · 152 beds
Needs attention
Abuse citationGovernment-runChain member
Data as of July 1, 2026
1 of 5 overall
Focused Care of Waxahachie has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings despite a 4-star quality measures rating. It has a recent abuse citation, $12,428 in fines over the last 24 months, and reported staffing of 2.68 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
2.6786 hrs/resident/day
Quality measures
Last inspection: May 23, 2026Penalties, last 24 months: $12,428recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6786.
Staffing detail
- Registered nurses
- 0.27
- Licensed practical nurses
- 1.03
- Nurse aides
- 1.38
- Weekend nursing
- 2.40
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
3.2%7.1%Worsening
Residents with a fall causing major injury
8.6%1.7%Improving
Residents with pressure ulcers (bedsores)
2.9%3.7%Worsening
Residents with a urinary tract infection
3.5%0%Improving
Residents who lost too much weight
2%2.1%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.8%31.7%Worsening
Residents whose ability to walk got worse
8.3%23.7%Worsening
Long-stay residents on antianxiety or sleep medication
26%20.4%Improving
Short-stay residents newly given an antipsychotic
—3.9%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.7%13.7%Improving
Residents with depressive symptoms
0%1.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—91.4%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—69.2%—
Short-stay residents given the pneumonia vaccine
81.2%95%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited October 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
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- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $12,428 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $19,120 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
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Penalties & enforcement
On record with Medicare: 3 fines · $172,367 in total fines · 1 payment denial.
- $12,428
Federal fine
Mar 2, 2026
- $8,161
Federal fine
Mar 27, 2024
- 28 days
Medicare/Medicaid payment denial
Jul 17, 2023
- $151,778
Federal fine
Jul 17, 2023
Operator & ownership
Recent ownership change · Feb 1, 2017
Now operated by Focused Care of Waxahachie, previously Renfro Healthcare Center.
- Ownership
- Government - Hospital district
- Chain
- Part of FOCUSED POST ACUTE CARE PARTNERS · 25 homes · 1.9 stars avg
- Occupancy
- 62.7 residents on an average day (41% of 152 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.